Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mayra Gonzalez

Individual provider Family Nurse Practitioner · NPI 1508738485

Mayra Gonzalez is a Nurse Practitioner in Miami Lakes, Florida. Qualified in 2025, 1 year ago. Practices with Genesis Wound Care Center LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

14875 NW 77th Ave
Miami Lakes, FL 33014-2565
Phone: (305) 822-2380
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F09250512 (FL)

Record details

NPI number1508738485
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 22, 2025
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 21, 2025
Mailing address14875 Nw 77th Ave, Miami Lakes, FL 33014-2565

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Genesis Wound Care Center Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Miami Lakes